Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Battery ingestion is very common in pediatric patients.
It is known to urgently remove a battery within the esophagus.
The treatment plan becomes inconsistent when the battery has passed the gastroesophageal junction.
The study was a two center study done at Texas Children's and Children's Mercy Hospital in Kansas City.
A majority of battery ingestions that passed the esophagus were treated conservatively with no intervention and had no complications.
The evidence-based algorithm states that if the patient is symptomatic, you need to urgently remove the battery.
If the patient is asymptomatic, they should be monitored for five to seven days with imaging.
Batteries that required intervention after passing the esophagus were in patients who were either symptomatic, unable to pass the battery within an appropriate amount of time, or had other concerning ingested items such as magnets.
If the battery shows no progression after monitoring, the physician should start considering removing the battery.
Two patients needed intervention when the battery passed the esophagus: one with a perforated Meckel's diverticulum and one with a gastric perforation.
The algorithm is a simplified version of the algorithm found on poison.org.
Batteries are removed from the esophagus urgently.
There is not universal agreement on what to do when batteries have gone into the stomach.
If patients are asymptomatic, they can be sent home and get x-rays as an outpatient.
After seven days if the battery is still present, then intervene.
If patients are symptomatic, admit them to the hospital and intervene.